Provider Demographics
NPI:1033787882
Name:BAILEY, JAZZMIN (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:JAZZMIN
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 MOUNTAIN BROOK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30115-9057
Mailing Address - Country:US
Mailing Address - Phone:404-585-0053
Mailing Address - Fax:
Practice Address - Street 1:113 MOUNTAIN BROOK DR STE 200
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30115-9057
Practice Address - Country:US
Practice Address - Phone:404-585-0053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-16
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health